Provider Demographics
NPI:1437420742
Name:LLCP HEALTH CARE MNAGEMENT, LLP
Entity Type:Organization
Organization Name:LLCP HEALTH CARE MNAGEMENT, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:931-215-2182
Mailing Address - Street 1:100 N BIGBY DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4704
Mailing Address - Country:US
Mailing Address - Phone:931-215-2182
Mailing Address - Fax:931-381-5363
Practice Address - Street 1:100 N BIGBY DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4704
Practice Address - Country:US
Practice Address - Phone:931-215-2182
Practice Address - Fax:931-381-5363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNNHA 2039253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care